Hematuria: Cystitis Glandularis and Bladder Biopsy Insights

Due to the discovery of hematuria in a urinalysis, a cystoscopy was performed?

1.
The biopsy report indicates a diagnosis of "glandular cystitis" in the urinary bladder neck.
In English, this is referred to as "glandular cystitis."
2.
You should be vigilant about any changes in urinary symptoms, such as increased frequency, urgency, or pain during urination.
It is advisable to follow up with your healthcare provider regarding the frequency of urine tests.
Depending on your specific situation, additional tests such as imaging studies or further cystoscopy may be recommended for more comprehensive monitoring.
3.
Glandular cystitis is generally considered a benign condition, but it is important to monitor it regularly to rule out any potential complications.
4.
Cranberry supplements, such as capsules or tablets, are often used for urinary tract health.
While they are generally safe for men to take, their effectiveness can vary.
It may be beneficial to consult with your healthcare provider before starting any new supplements to ensure they are appropriate for your specific health needs.
Thank you for your questions.

ERIC, 30~39 year old female. Ask Date: 2020/04/13

Dr. Du Shixi reply Urology

1) Cystitis glandularis is a diagnosis based on bladder biopsy, derived from the surface of the bladder; it is sometimes referred to as glandular cystitis.
2) If there is persistent microscopic hematuria, it is recommended to undergo renal ultrasound and urine cytology every six months.
If there is gross hematuria, a cystoscopy should be performed.
3) Cystitis glandularis is benign, but in rare cases, it may progress to malignancy.
4) There is no need for concern, but if bladder cancer is suspected, please pay attention to the following daily precautions: Bladder cancer is closely related to individual work environments and habits, so preventive measures are essential.
(1) Avoid foods containing preservatives and chemicals, and wash foods that may have pesticide residues.
(2) Do not smoke, minimize hair dyeing, and limit exposure to dyes and organic solvents.
(3) Individuals who frequently handle chemicals related to dyeing, printing, or leather should monitor for the occurrence of hematuria.
(4) To prevent disease recurrence, cystoscopy should be performed every three months after treatment.
(5) Drink plenty of water, maintaining a daily urine output of over 2000 cc, to reduce the concentration of carcinogens in the bladder.
(6) Avoid the habit of holding urine; it is best to urinate regularly to minimize the risk of cancer.
Wishing you good health.

Reply Date: 2020/04/13

More Info

Cystitis glandularis is a condition characterized by the presence of glandular tissue in the bladder, which is typically considered a benign condition. The diagnosis you received from your bladder biopsy indicates that the tissue samples taken from your urinary bladder neck showed changes consistent with cystitis glandularis. This condition can be associated with chronic irritation or inflammation of the bladder, and while it is generally benign, there is a small risk that it could progress to malignancy in some cases.

1. Understanding Your Diagnosis: The term "cystitis glandularis" refers to a specific type of bladder inflammation where gland-like structures develop in the bladder lining. In English, this is referred to as "cystitis glandularis." The biopsy report indicates that the samples were small, measuring up to 0.3 cm, and were taken from the neck of the bladder. The note "Xone" may refer to a specific area or finding noted by the pathologist, but it is not a standard term and may require clarification from your physician.

2. Monitoring and Follow-Up: Your current practice of having urine tests every three months is reasonable, especially since you have not experienced any further episodes of hematuria (blood in urine) since the initial finding. However, it is essential to maintain open communication with your healthcare provider regarding your follow-up care. Depending on your symptoms and any changes in your condition, your doctor may recommend additional tests, such as repeat cystoscopy or imaging studies, to monitor the bladder's health more closely. It is crucial to discuss any new symptoms or concerns with your doctor to determine if further evaluation is necessary.

3. Benign vs. Malignant: Cystitis glandularis is generally considered a benign condition. The risk of it progressing to a malignant state is low, but it is not entirely absent. Regular monitoring and follow-up with your healthcare provider are essential to ensure that any changes in your condition are promptly addressed.

4. Cranberry Supplements: As for taking cranberry supplements, they are often marketed for urinary tract health and may help prevent urinary tract infections (UTIs) due to their ability to inhibit bacterial adhesion to the bladder wall. While cranberry products are generally safe for both men and women, their effectiveness in treating or preventing bladder conditions like cystitis glandularis is not well established. If you are considering taking cranberry supplements, it is advisable to discuss this with your healthcare provider to ensure it aligns with your overall health plan.

In summary, cystitis glandularis is a benign condition that requires regular monitoring. Your current follow-up schedule seems adequate, but always consult your healthcare provider for personalized advice. While cranberry supplements may offer some benefits for urinary health, they should not replace medical treatment or monitoring. Always prioritize communication with your healthcare team regarding any changes in your symptoms or health status.

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